The Basics
What is Halothane?
General inhalation anesthetic used for induction and maintenance of general anesthesia.
Brand names for Halothane
Fluothane
How Halothane is classified
Anesthetics – Inhalation
Halothane During Pregnancy
Halothane pregnancy category
Category CNote that the FDA has deprecated the use of pregnancy categories, so for some medications, this information isn’t available. We still think it’s useful to list historical info, however, given what a common proxy this has been in the past.
What we know about taking Halothane while pregnant
Some studies have shown Fluothane (halothane) to be teratogenic, embryotoxic, and fetotoxic in the mouse, rat, hamster, and rabbit at subanesthetic and/or anesthetic concentrations. There are no adequate and well-controlled studies in pregnant women. Fluothane (halothane) should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Taking Halothane While Breastfeeding
What are recommendations for lactation if you're taking Halothane?
There is no published experience with halothane anesthesia during breastfeeding. Various recommendations have been made regarding breastfeeding after halothane anesthesia, from discarding the first pumping after recovery to discarding breastmilk for 24 to 48 hours after the surgical procedure.[2][3] Although withholding breastfeeding for 24 h is probably unnecessary, an alternate anesthetic may be preferred, especially while nursing a newborn or preterm infant. In one study, breastfeeding before general anesthesia induction reduced requirements of sevoflurane and propofol compared to those of nursing mothers whose breastfeeding was withheld or nonnursing women.[1] It is possible that requirements for other anesthetic agents would be affected similarly.
Maternal / infant drug levels
There is no published experience with halothane anesthesia during breastfeeding. Various recommendations have been made regarding breastfeeding after halothane anesthesia, from discarding the first pumping after recovery to discarding breastmilk for 24 to 48 hours after the surgical procedure.[2][3] Although withholding breastfeeding for 24 h is probably unnecessary, an alternate anesthetic may be preferred, especially while nursing a newborn or preterm infant. In one study, breastfeeding before general anesthesia induction reduced requirements of sevoflurane and propofol compared to those of nursing mothers whose breastfeeding was withheld or nonnursing women.[1] It is possible that requirements for other anesthetic agents would be affected similarly.
Possible effects of Halothane on milk supply
Relevant published information was not found as of the revision date.
Possible alternatives to Halothane
Desflurane, Enflurane, Isoflurane, Sevoflurane.
List of References
Lactation sources: Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/1. Bhaskara B, Dayananda VP, Kannan S et al. Effect of breastfeeding on haemodynamics and consumption of propofol and sevoflurane: A state entropy guided comparative study. Indian J Anaesth. 2016;60:180-6. PMID: 27053781
2. Cote CJ, Kenepp NB, Reed SB, Strobel GE. Trace concentrations of halothane in human breast milk. Br J Anaesth. 1976;48:541-3. PMID: 986147
3. Hale TW. Anesthetic medications in breastfeeding mothers. J Hum Lact. 1999;15:185-94. PMID: 10578796
Disclaimer: This material is provided for educational purposes only and is not intended for medical advice, diagnosis, or treatment. Consult your healthcare provider with any questions.